KRISTEN M BROEDLIN (NPI# 1649277518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649277518 |
| Entity Type | Individual |
| Full Name | KRISTEN M BROEDLIN |
| Credential | NP |
| Practice Address |
112 Quarry Rd Suite 400 Trumbull CT 06611-4816 |
| Practice Telephone | 2033338800 |
| Practice Fax Number | 2033336054 |
| Mailing Telephone | 2033338800 |
| Mailing Fax Number | 2033336054 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 001608 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
112 QUARRY RD SUITE 400 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386020238 | Kaitlyn O'brien | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-08-03 |
| 1427446970 | Lauren Marie Freer | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-01-07 |
| 1285067074 | Katherine M Masoud | Nurse Practitioner | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 | 2013-08-15 |
| 1588008007 | Donna Duris | Registered Nurse | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2013-04-26 |
| 1922347335 | Michelle Johnson | Nurse Practitioner | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4816 | 2013-02-05 |
| 1104189992 | Molain Saintilus | Internal Medicine | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4848 | 2012-06-18 |
| 1205069838 | Shubnum Singh | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2009-08-31 |
| 1033348255 | Hayley M Ball | Pharmacist | 112 Quarry Rd, Suite 280, Trumbull, CT 06611-4848 | 2009-07-09 |
| 1861647059 | Michael Patrick Pollock | Anesthesiology | 112 Quarry Rd, Trumbull, CT 06611-4848 | 2008-12-01 |
| 1316102247 | Avinash Ramesh Gulrajani | Internal Medicine | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396202784 | Kerry-ann Mcpherson | Nurse Practitioner | 6122 Avalon Gates, Trumbull, CT 06611-5818 | 2019-02-21 |
| 1730134107 | Gloriann Albini | Nurse Practitioner | 999 Silver Ln, 3rd Floor, Trumbull, CT 06611-5343 | 2006-05-24 |
| 1194729913 | Amy Boudreau | Nurse Practitioner | 115 Technology Dr, Suite 300, Trumbull, CT 06611-6337 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454234 | Luiza Mcdonagh | Nurse Practitioner | 228 Willow Spgs, New Milford, CT 06776-4367 | 2020-10-14 |
| 1396342051 | Michele Lalonde Curiel | Nurse Practitioner | 55 Glen Pl, Glastonbury, CT 06033-2483 | 2020-10-06 |
| 1700492006 | Mijung Kim | Nurse Practitioner | 3124 Avalon Dr W, New Canaan, CT 06840-5944 | 2020-09-22 |
| 1396358404 | Rachel Elizabeth Paternoster | Nurse Practitioner | 52 Peck Rd Ste G, Torrington, CT 06790-6107 | 2020-08-28 |
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1881206555 | Suzanne Gleichauf | Nurse Practitioner | 7 Fleetwood Ln, Brookfield, CT 06804-3204 | 2020-08-23 |
| 1477165041 | Angelica M. Arteaga-blasio | Nurse Practitioner | 47 East Ave, Stamford, CT 06902-6116 | 2020-08-17 |
| 1598376162 | Jody Kusheba | Nurse Practitioner | 72 Cottage St, Monroe, CT 06468-2917 | 2020-08-16 |
| 1982213997 | Bryan Fix | Nurse Practitioner | 33 Rugby Rd, Shelton, CT 06484-1683 | 2020-07-26 |
| 1033735378 | Carmel M Keaveney | Nurse Practitioner | 3 Teregram Pl, Westport, CT 06880-2558 | 2020-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.